ADOLESCENT ACADEMY, INC.


Address: 29970 Technology Dr Ste 117g, Murrieta, CA 92563-2647
Phone: 9516987612

ADOLESCENT ACADEMY, INC. (NPI# 1205209749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205209749
Entity Type Organization
Organization Name ADOLESCENT ACADEMY, INC.
Practice Address 29970 Technology Dr Ste 117g
Murrieta
CA 92563-2647
Mailing Address Po Box 1033
Murrieta
CA 92564-1033
Practice Telephone 9516987612
Mailing Telephone 9516987612
Enumeration Date 2015-11-05
Last Update Date 2015-11-05
Authorized Official Name MR. FARHAN QURESHI (VP OF OPERATIONS)
Authorized Official Telephone 9516987612
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
Residential Treatment Facilities

Office Location

Street Address 29970 TECHNOLOGY DR STE 117G
City MURRIETA
State CA
Zip Code 92563-2647

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1114432721 May Farrah Blanco Yoshisaki Nurse Practitioner 39525 Los Alamos Road, Ste E, Murrieta, CA 92563 2017-12-05
1942721899 Cecilia Cristina Flores-castillo Interpreter 29910 Murrieta Hot Sprngs Rd., Ste. G-235, Murrieta, CA 92563 2017-06-30
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1750817177 Anahita Akbari Farahani Dentist 39209 Wichester Rd, Ste 100, Temecula, CA 92563 2017-05-04
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Taxonomy Information

Taxonomy Code 3245S0500X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility
Specialization Substance Abuse Treatment, Children

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Notes: [7/1/2003: new]

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Competitor

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City MURRIETA
Zip Code 92563

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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